Non-emergency transportation claims that were previously suspended with code D04, rejected G55, 180-Day Timely Filing Limit, when they were rebilled. Claims received after are processing correctly. Claims denied whether or not they had prior approval.Ĭlaims with service dates on or after were placed on hold beginning May 1, 2015.Ĭlaims that were previously on hold were released May 26, 2015. Non-emergency claims require prior approval. Co-pay deductions are reported with an informational comment on the HFS paper remittance advice.Ĭlaims with dates on or after were placed on hold beginning May 1, 2015.Ĭlaims that were previously on hold were released May 26, 2015. The issue began with claims received on and after November 8, 2014Ĭertain services are assessed a co-pay. Second recoupment: Vouchers generated April 28, 2015, identified by Voucher Number beginning with numbers 5118.Ĭlaims for Screening, Assessment and Support Services (SASS) were processed incorrectly. Continue to monitor this page for updates.įirst recoupment: Vouchers generated April 27, 2015, identified by Voucher Number beginning with numbers 5117. Claims with dates of service on or after January 1, 2017 Claims are being accepted when submitted, but are not showing claim status. Claims submitted to the Department via MEDI/DDE using Place of Service code 02 for the Telehealth distant site service are not processing. Instructions for the paper override process are explained in detail on the Department’s Non-Institutional Providers Resources webpage. JA timely filing override for impacted claims will be allowed for 180 days from the provider notification date of 10/02/17. Hospital outpatient fee-for-service physical therapy and occupational therapy services are either paying inappropriately or rejecting in error when billed by hospitals under the same provider number. If reimbursement was less than the new maximum allowable rate, providers must void and rebill the claim with a new provider charge reflecting the enhanced reimbursement rate ![]() On 12/4/17, the Department adjusted paid claims with dates of service on or after Augup to the provider charge or the new maximum allowable rate, whichever was less.
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